Z8D-98171-00836
3 vaccinations
3 coded responses
27 check-ins
3 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 41-45
- ZIP prefix
- 191 / PA
- Registered
- 2021-04-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-04-06
Registered in v-safe
-
2021-04-06
Dose 1 — Moderna
- 2021-04-06
-
2021-04-07
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Fatigue or tiredness, NauseaAdult check-in
-
2021-04-08
Survey response — days 1–6 daily, dose 1MedDRA: Myalgia — Feeling: Good · Site: Pain · Muscle or body achesFree text: Muscle pain is near my shoulder blade on the injection side. Not sure if related or if I slept on it wrongMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-09
- 2021-04-10
- 2021-04-11
- 2021-04-12
-
2021-04-13
Survey response — day 7, dose 1MedDRA: Arthralgia — Feeling: Good · Muscle or body achesFree text: Pain near shoulder blade on injection side is still there/back. Not sure whether vaccination related.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-20
- 2021-04-27
-
2021-05-04
Dose 2 — Moderna
-
2021-05-04
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain, Swelling · Headache, NauseaAdult check-in
-
2021-05-05
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness, Nausea · Be unable to workAdult check-in
- 2021-05-06
- 2021-05-07
- 2021-05-08
- 2021-05-09
- 2021-05-10
- 2021-05-11
- 2021-05-18
- 2021-05-25
- 2021-06-01
- 2021-06-08
- 2021-06-15
- 2021-08-03
- 2021-11-02
-
2022-01-04
Dose 3 — Moderna
-
2022-07-05
Survey response — 6 months, dose 3MedDRA: Cough, Dizziness, Fatigue, Influenza like illness, Pain, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive, Throat irritation — Feeling: Good · Be unable to work or attend schoolFree text: Tested positive for COVID-19 just before memorial day weekend. Started with scratchy throat and congestion, then fatigue. Had two days with flu like symptoms (fever, body aches, light headed). One morning had chest congestion and pain while coughing.MedDRA releases: 2024-11 · check-in free text available
- 2023-01-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-06 | Moderna | |
| 2 | 2021-05-04 | Moderna | |
| 3 | 2022-01-04 | Moderna | No |
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Muscle pain is near my shoulder blade on the injection side. Not sure if related or if I slept on it wrong
Release 7 — day 7, dose 1
Systemic reaction (other): Pain near shoulder blade on injection side is still there/back. Not sure whether vaccination related.
Release 12 — 6 months, dose 3
Symptoms: Tested positive for COVID-19 just before memorial day weekend. Started with scratchy throat and congestion, then fatigue. Had two days with flu like symptoms (fever, body aches, light headed). One morning had chest congestion and pain while coughing. cut off by CDC
Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".
MedDRA terms by release
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Cough | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Influenza like illness | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Throat irritation | · | · | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release